H26.09

H26.09: Other infantile and juvenile cataract

Billable / specific codeICD-10-CM

H26.09 is a billable, specific ICD-10-CM code for other infantile and juvenile cataract. It is valid for submission on a claim.

Check H26.09 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H26.09

A category’s note binds every code beneath it.

Written on H26: Other cataract

congenital cataract (Q12.0)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H26.09 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56453Billing and Coding: Cataract Extraction
A56544Billing and Coding: Cataract Extraction
A56549Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
A56613Billing and Coding: Cataract Surgery

Alphabetic index entries that lead here

Cataract›presenile›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.